TYD PROVIDER SERVICES
NPI 1215729868
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA
About Tyd Provider Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TYD PROVIDER SERVICES (NPI 1215729868) is a healthcare organization registered as a psychiatric/mental health in Los Angeles, California and active in the NPI registry since May 2025. The organization lists Dominique Dunn, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tyd Provider Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Tyd Provider Services, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tyd Provider Services's NPI number?
The NPI number for Tyd Provider Services is 1215729868. It was assigned to this organization in the NPPES registry on May 20, 2025.
Where is Tyd Provider Services located?
Tyd Provider Services is located at 355 S Grand Ste 2450, Los Angeles, CA 90071. The listed phone number is (657) 200-9124.
What is Tyd Provider Services's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Tyd Provider Services enrolled in Medicare?
Yes. Tyd Provider Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tyd Provider Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Tyd Provider Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Tyd Provider Services was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tyd Provider Services · NPI 1215729868
Psychiatric/Mental Health organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since May 20, 2025.
## Identity
- **NPI:** 1215729868 (Entity type: Organization)
- **Enumerated:** May 20, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Dominique Dunn, OWNER
## Practice location
- **Address:** 355 S GRAND, STE 2450, Los Angeles, CA 90071-1560
- **Phone:** (657) 200-9124
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215729868) · Data from the CMS NPPES public registry.